What is Urology?
What is urology and what causes urinary incontinence? Urology covers all of the organs of the urinary system and each organ can contribute to urinary incontinence. Urine is filtered in the kidneys and drains into the collecting tubes from the kidneys. From there urine travels down the ureters into the bladder. From the bladder, urine is passed out through the urethra and in men the prostate surrounds the urethra. Urinary incontinence (incontinencia urinaria) comes in many forms and should not be self-diagnosed. Urinary outlet obstruction often called urinary retention causes uncontrolled bladder accidents from overflow incontinence. This happens when the bladder cannot empty out all of the urine during urination which makes it always “full of urine” unfortunately the bladder has a tendency to leak even after urinating. This can happen because weak bladder muscles cannot push out the urine completely or because something is blocking the urine from leaving the bladder such as an enlarged prostate, urethral stricture, or a bladder stone. Urinary symptoms such as frequent urination, nocturia (waking up to urinate), bladder fullness, weak stream, and inability to urinate are some signs of urinary retention.
What is urology and what causes bladder accidents? When the need to urinate comes about very quickly and strongly and urination occurs before you are able to get to the toilet urologists call it urge incontinence. Urge incontinence more often than not, happens when the bladder muscles spasm and contract without control which makes urine leak out of the bladder. These involuntary bladder contractions can come for several reasons which is why the urology specialist needs to diagnose the cause. Bladder spasms can occur from irritation and inflammation from bladder infections (cystitis) and cancer of the bladder, and tumors. They can also be caused by over active nerves and by bladders that do not empty completely and are always stretched out can have frequent bladder spasms. Pinpointing the cause is the only way to figure out the correct medical solution. Medications are prescribed to minimize bladder spasms and over active bladders.
What is urology and what makes me leak urine when I cough, sneeze, laugh, or exercise? Urinary incontinence with these bladder symptoms is called stress incontinence. In the majority of cases this happens to women. Stress incontinence usually means that the bladder sphincter and the surrounding tissues are too weak to hold the urine back when extra pressure is applied to the bladder. The muscles of the stomach and internal organs rest and squeeze down on the bladder with bodily movement, coughing, sneezing and laughing. A weak pelvic floor can develop with age or inactivity and many women have distorted their pelvic floor during childbirth which is another cause of stress incontinence. What is a urologist doing to stop the embarrassing leaking? Kegel exercise (pelvic floor exercises), bio feedback training, and urethral bulking are some of the options available to correct stress incontinence. Bladder surgery to lift a dropped bladder may also be needed. For questions on urinary incontinence you can go to our Ask the Doctor blog, make an appointment by calling (305) 822-7227, request an appointment online or go to theurology supplements online store.